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Claims Adjudicator at Accenture - ApplyBlast

Claims Adjudicator

Accenture

12 days ago

3.9 on Glassdoor

Edmonton, Alberta, Canada

Onsite

Full Time

Medior

0 applicants

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About this role

The Claims Adjudicator assesses and processes medical and hospital claims submitted by service providers, Alberta residents, and secondary insurance companies to ensure accurate and timely payment in compliance with provincial and federal legislation. The role involves interpreting health benefit schedules, resolving claim discrepancies, and communicating decisions to stakeholders while maintaining high-volume operational standards. This position supports the Health Insurance Programs Branch in administering the Alberta Health Care Insurance Plan.

Responsibilities

Assess and adjudicate medical and hospital claims submitted by service providers and residents
Interpret legislation, policies, and fee schedules to determine appropriate payment or refusal of claims
Review complex supporting documentation and investigate claim issues to resolve discrepancies

Skills

About Accenture

accenture.com

Headquarters

Canal Harbour, Westmeath, Ireland

Company Size

10001+ employees

Founded

1989

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Accenture is a global professional services company providing consulting, technology, operations and digital transformation services to organizations worldwide.